The 10 Best Home Care Agencies for Seniors in Paramus, NJ for 2025

Monthly home care costs in Paramus are the same as the New Jersey average of $5,529. However, the cost is $600 higher than the national average. Home care costs in the immediate vicinity of Paramus are comparable to health-care costs in Atlantic City and Ocean City to the south. The costs of home care in Paramus are roughly $200 higher when compared to the neighboring western cities of Philadelphia and Poughkeepsie. 

Monthly average home care costs in Paramus are slightly more affordable than assisted living by almost $221, respectively. Adult day care is the most affordable option, being about $3,575 less than home care, but requires transportation. Home health care is only approximately $200 more and includes medical monitoring and medication administration, versus in-home care, which supports daily tasks such as bathing and meal preparation. Nursing Home Care is the most expensive and is available for around $6,940 more than home care.

Given the high cost of in-home care, many people use one or more forms of financial assistance to cover the expenses. Below, we explain some of the most common sources of financial help for paying for in-home care. If none of these options are available to you, you can reach out to your Area Agency on Aging or Aging and Disability Resource Center to learn about local resources.

• Long-Term Care Insurance: Long-term care insurance covers expenses related to senior care, including in-home care. Depending on the policy type, beneficiaries may receive a cash payment to use towards long-term care or reimbursement for qualifying long-term care expenses. Note that there are limitations- typically a maximum benefit of $150 per day- and exact coverage terms vary depending on the exact policy, so always check the details.
• Medicare: Medicare does not cover in-home care because it is classified as custodial, or non-medical, care. However, some Medicare Advantage and Medicare Supplement plans, which offer expanded benefits, may cover in-home custodial care.
• Medicaid: Medicaid coverage of in-home care varies between different states because it is not a federally mandated benefit. Currently, all states cover some in-home care either through their standard Medicaid or a waiver program. The specific coverage rules are set individually by each state.
• Veterans’ Benefits: The Aid and Attendance benefit is a monthly cash payment that beneficiaries can use to pay for senior care, including in-home care services. To qualify for A&A, Veterans must already receive the VA pension and meet several additional requirements, including needing assistance with the activities of daily living. Contact the Department of Veterans Affairs to learn more.
• Reverse Mortgages: Home Equity Conversion Mortgages (HECMs) are federally insured loans that are available to homeowners age 62 and over. Reverse mortgages allow you to access a portion of your home’s equity in cash, tax free. Many seniors use reverse mortgages to finance their care expenses, including in-home care. Note that although there are no monthly payments due on reverse mortgage loans, borrowers do have to repay the loan once the last surviving homeowner passes away, moves, or sells the home.